How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $7.59 | Facility | None | $5.75 | $5.75 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $7.59 | Professional | None | $5.75 | $7.08 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.85 Median $1.05 Typical High $1.12 | Professional | 55 · Aftercare only | $0.85 | $1.05 | $1.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.71 Typical High $0.76 | Professional | 56 · Pre-op care only | $0.56 | $0.71 | $0.76 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.92 | Professional | None | $6.17 | $6.17 | $6.92 |
Christus Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.01 Typical High $8.32 | Professional | None | $3.72 | $5.01 | $8.32 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier SC · Medically necessary Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | SC · Medically necessary | $5.62 | $5.62 | $5.62 |
Where Louisiana sits
The same service costs 3.2 times more in Minnesota than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 40th of 51
$6.76
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.